Individual
JENNIFER MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2603 MAIN DR, SUITE 3, FAYETTEVILLE, AR 72704-5278
(479) 856-6400
(479) 856-6623
Mailing address
2603 MAIN DR, SUITE 3, FAYETTEVILLE, AR 72704-5278
(479) 856-6400
(479) 856-6623
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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